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The best method to predict easy intubation: a quasi-experimental pilot study
Department of Health and Caring Sciences, University of Gävle, Gävle, Sweden; Centre for Research & Development, Uppsala University/County Council of Gävleborg, Gävle, Sweden; Department of Public Health and Caring Sciences, Section for Caring Sciences, Uppsala University, Uppsala, Sweden;.
Centre for Research & Development, Uppsala University/County Council of Gävleborg, Gävle, Sweden; Department of Medical Sciences, Respiratory Medicine and Allergology, Uppsala University, Uppsala, Sweden.
Department of Anesthesiology and Intensive Care, Hedenstierna Laboratory, Surgical Sciences, Uppsala University, Uppsala, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (Perioperativ omvårdnad)ORCID iD: 0000-0001-5403-4183
2014 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 29, no 4, 292-297 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To facilitate evaluation of the airway before endotracheal intubation, different scores have been developed, mainly to predict difficult airways. However, in anesthesia clinical practice in Sweden, scores would be more useful if they could also predict an easy airway, so that the correct category of anesthesia personnel can be allocated. Therefore, we evaluated whether scoring systems commonly used to predict difficult airways could also predict easy endotracheal intubation.

DESIGN: This prospective observational study included patients who were scheduled for general anesthesia and required endotracheal intubation.

METHODS: Airways were evaluated preoperatively by two independent variables, namely Mallampati classification and thyromental distance. After anesthesia induction, the Cormack and Lehane grade was assessed.

FINDING: Mallampati scores yielded the highest specificity in predicting easy intubation, and Cormack and Lehane grades yielded the highest positive predictive value for predicting easy intubation.

CONCLUSIONS: Mallampati classification is an appropriate screening test for predicting easy intubation.

Place, publisher, year, edition, pages
2014. Vol. 29, no 4, 292-297 p.
Keyword [en]
intubation, Mallampati classification, Cormack and Lehane grade, airway management
National Category
Nursing Anesthesiology and Intensive Care
Research subject
Caring sciences; Anaesthesiology
Identifiers
URN: urn:nbn:se:oru:diva-36060DOI: 10.1016/j.jopan.2013.05.015ISI: 000340344000005PubMedID: 25062573Scopus ID: 2-s2.0-84904664939OAI: oai:DiVA.org:oru-36060DiVA: diva2:739923
Available from: 2014-08-22 Created: 2014-08-22 Last updated: 2017-10-17Bibliographically approved

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Nilsson, Ulrica

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